Clinical study of concealed penis correction surgery based on principle of midline symmetry_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 JING Peng ¹ , ZOU Jiaqiong ² , ZHAO Dan ¹ , YANG Jinfeng ¹ , FENG Songlin ¹ , WANG Cheng ¹

1. Department of Pediatric Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong Sichuan, 637000, P.R.China;
2. Department of Clinical Laboratory, the First Affiliated Hospital of Chengdu Medical College, Chengdu Sichuan, 610500, P.R.China;

Corresponding?author：

JING Peng, Email: 820128944@qq.com

Keywords：

Concealed penis; principle of midline symmetry; correction surgery

DOI：

10.7507/1002-1892.201909106

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the effectiveness of concealed penis correction surgery based on the principle of midline symmetry.Methods Between January 2016 and September 2018, 18 children with concealed penis were treated with correction surgery based on the principle of midline symmetry. All children were 3-12 years old, with an average age of 8.3 years. Physical examination showed that the penis was short; the penis body could not be exposed or be exposed too limited; the corpus cavernosum developed well. The pressure dressing was removed at 3 days after operation and the urethral tube was removed. The color of the glans, the swelling and congestion of penis and scrotum, and the blood supple of the prepuce flap were observed.Results The operation time ranged from 47 to 54 minutes, with an average of 50 minutes. All children were followed up 3 months after operation. There was no hemorrhage and necrosis of the glans and no infection or ischemic necrosis of the flap. All patients had different degree of prepuce edema at 3 days after operation, 5 patients still had prepuce edema at 2 weeks, and the prepuce edema in all patients subsided at 3 months. All penises were exposed well after midline symmetric anastomosis with no bulky prepuce and scrotum.Conclusion The correction surgery based on the principle of midline symmetry can be used to correct the appearance of the concealed penis effectively.

Citation： JING Peng, ZOU Jiaqiong, ZHAO Dan, YANG Jinfeng, FENG Songlin, WANG Cheng. Clinical study of concealed penis correction surgery based on principle of midline symmetry. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(4): 505-508. doi: 10.7507/1002-1892.201909106 Copy

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2.	Shiraki IW, Shirai RS. Congenital micropenile skin sleeve. J Urol, 1975, 114(3): 469-472.
3.	Devine CJ. Concealed and webbed penis//Himan F. Atlas of pediatric urologic surgery. Philadelphia: Saunders, 1994: 608.
4.	Johnston JH. Concealed (beried) penis//Divid-Frank JV, Johnston JH. Opervtive pediatric urology. Edinburgh: Churchil Livingstone, 1990: 233-235.
5.	Brisson P, Patel H, Chan M, et al. Penoplasty for buried penis in children: report of 50 cases. J Pediatr Surg, 2001, 36(3): 421-425.
6.	閻景鐵, 張大森, 李明偉. 改良 Devine 術+包皮遠端皮瓣轉移治療小兒重度隱匿性陰莖的效果. 臨床小兒外科雜志, 2017, 16(4): 406-408.
7.	范登信, 蔡盈, 曹永勝, 等. Shiraki-Devine 術治療兒童隱匿陰莖的臨床觀察. 安徽醫科大學學報, 2012, 47(8): 1005-1006.
8.	陳海琛, 吳永隆, 徐延波. 改良 Brisson 術治療重度隱匿性陰莖療效分析. 中國修復重建外科雜志, 2018, 32(12): 1581-1585.
9.	梁朝朝, 王克孝, 陳家應, 等. 合肥地區 5172 名男性青少年外生殖器疾病的流行病學調查. 中華醫學雜志, 1997, 77(1): 15-17.
10.	Herndon CD, Casale AJ, Cain MP, et al. Long-term outcome of the surgical treatment of concealed penis. J Urol, 2003, 170(4 Pt 2): 1695-1697.
11.	Shaeer OK. Shaeer’s technique: a minimally invasive procedure for monsplasty and revealing the concealed penis. Plast Reconstr Surg Glob Open, 2016, 4(8): e1019.
12.	Anandan L, Mohammed A. Surgical management of buried penis in adults. Cent European J Urol, 2018, 71(3): 346-352.
13.	Srinivasan AK, Palmer LS, Palmer JS. Inconspicuous penis. Scientific World Journal, 2011, 11: 2559-2564.
14.	張華鋒. 經陰莖腹側陰囊銜接處楔形裁剪聯合改良 Brisson 術治療先天性隱匿陰莖. 中國修復重建外科雜志, 2013, 27(9): 1102-1105.
15.	王榮, 陳力, 王雪剛, 等. 改良陰莖脫套固定術治療小兒隱匿陰莖85例報道. 臨床泌尿外科雜志, 2012, 27(5): 387-388.
16.	Grossman JA. Cutaneous blood supply of the penis. Plast Reconstr Surg, 1989, 83(2): 213-216.
17.	白安勝, 宋江虹, 馮繼周. 陰莖皮膚和包皮動脈的解剖及臨床應用. 中國臨床解剖學雜志, 2002, 20(1): 73-74.
18.	Mirastschijski U, Schwenke C, Melchior S, et al. Buried penis: A comprehensive review on aetiology, classification and plastic-surgical reconstruction. Handchir Mikrochir Plast Chir, 2017, 49(2): 78-84.

1. Maizels M, Zaontz M, Donovan J, et al. Surgical correction of the buried penis: description of a classification system and a technique to correct the disorder. J Urol, 1986, 136(1 Pt 2): 268-271.
2. Shiraki IW, Shirai RS. Congenital micropenile skin sleeve. J Urol, 1975, 114(3): 469-472.
3. Devine CJ. Concealed and webbed penis//Himan F. Atlas of pediatric urologic surgery. Philadelphia: Saunders, 1994: 608.
4. Johnston JH. Concealed (beried) penis//Divid-Frank JV, Johnston JH. Opervtive pediatric urology. Edinburgh: Churchil Livingstone, 1990: 233-235.
5. Brisson P, Patel H, Chan M, et al. Penoplasty for buried penis in children: report of 50 cases. J Pediatr Surg, 2001, 36(3): 421-425.
6. 閻景鐵, 張大森, 李明偉. 改良 Devine 術+包皮遠端皮瓣轉移治療小兒重度隱匿性陰莖的效果. 臨床小兒外科雜志, 2017, 16(4): 406-408.
7. 范登信, 蔡盈, 曹永勝, 等. Shiraki-Devine 術治療兒童隱匿陰莖的臨床觀察. 安徽醫科大學學報, 2012, 47(8): 1005-1006.
8. 陳海琛, 吳永隆, 徐延波. 改良 Brisson 術治療重度隱匿性陰莖療效分析. 中國修復重建外科雜志, 2018, 32(12): 1581-1585.
9. 梁朝朝, 王克孝, 陳家應, 等. 合肥地區 5172 名男性青少年外生殖器疾病的流行病學調查. 中華醫學雜志, 1997, 77(1): 15-17.
10. Herndon CD, Casale AJ, Cain MP, et al. Long-term outcome of the surgical treatment of concealed penis. J Urol, 2003, 170(4 Pt 2): 1695-1697.
11. Shaeer OK. Shaeer’s technique: a minimally invasive procedure for monsplasty and revealing the concealed penis. Plast Reconstr Surg Glob Open, 2016, 4(8): e1019.
12. Anandan L, Mohammed A. Surgical management of buried penis in adults. Cent European J Urol, 2018, 71(3): 346-352.
13. Srinivasan AK, Palmer LS, Palmer JS. Inconspicuous penis. Scientific World Journal, 2011, 11: 2559-2564.
14. 張華鋒. 經陰莖腹側陰囊銜接處楔形裁剪聯合改良 Brisson 術治療先天性隱匿陰莖. 中國修復重建外科雜志, 2013, 27(9): 1102-1105.
15. 王榮, 陳力, 王雪剛, 等. 改良陰莖脫套固定術治療小兒隱匿陰莖85例報道. 臨床泌尿外科雜志, 2012, 27(5): 387-388.
16. Grossman JA. Cutaneous blood supply of the penis. Plast Reconstr Surg, 1989, 83(2): 213-216.
17. 白安勝, 宋江虹, 馮繼周. 陰莖皮膚和包皮動脈的解剖及臨床應用. 中國臨床解剖學雜志, 2002, 20(1): 73-74.
18. Mirastschijski U, Schwenke C, Melchior S, et al. Buried penis: A comprehensive review on aetiology, classification and plastic-surgical reconstruction. Handchir Mikrochir Plast Chir, 2017, 49(2): 78-84.

Chinese Journal of Reparative and Reconstructive Surgery

Clinical study of concealed penis correction surgery based on principle of midline symmetry

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